Diss. (sammanfattning) Stockholm : Karolinska institutet, 2006. / Härtill 4 uppsatser.

Thesis (Mcur)--Stellenbosch University, 2001. / ENGLISH ABSTRACT: The researcher has identified several problems in the North West Health Directorate community of Namibia regarding malaria and malaria related deaths. Against this background the study was undertaken to: • Identify the attitude(s) of the community towards malaria. • Determine the community's knowledge of malaria. • Determine the prevention strategies the community employed to guard against malaria. • Make recommendations. Methodological triangulation was used to obtain data and the findings reflected the following: • Lack of knowledge about malaria, its causes, management and prevention due to lack of adequate health information. • Socio-cultural factors have an influence on the community's knowledge of malaria, their attitudes towards malaria and on strategies employed by the community to prevent malaria. Recommendations included provision of proper and adequate health information to the community by health workers, increasing community participation in order to enhance attitude change and co-ordination and collaboration between traditional healers and the Ministry of Health and Social Services. Keywords: malaria I community I prevention I knowledge I attitudes / AFRIKAANSE OPSOMMING: Die navorser het verskeie probleme rakende malaria en malaria verwante sterftes in die gemeenskap van die Noordwes Gesondheidsdirektoraat van Namibië geïdentifiseer. Teen hierdie agtergrond is die studie gedoen om: • Die houding van die gemeenskap teenoor malaria te identifiseer. • Die gemeenskap se kennis omtrent malaria te bepaal. • Die voorkomende strategieë wat die gemeenskap toepas om malaria te voorkom te bepaal. • Aanbevelings te maak. Metodologiese triangulasie is gebruik om data te verkry en die bevindinge het die volgende gereflekteer: • Gebrek aan kennis aangaande malaria, die oorsake, hantering en voorkoming van malaria as gevolg van 'n gebrek aan voldoende gesondheidsinligting. • Sosio-kulturele faktore beïnvloed die gemeenskap se kennis van malaria, hul houding teenoor malaria en die strategieë wat hul toepas om malaria te voorkom. Aanbevelings sluit in die voorsiening van korrekte en voldoende gesondheidsinligting aan die gemeenskap deur gesondheidswerkers, verhoging van gemeenskapsdeelname om houdingsveranderinge teweeg te bring asook om die koërdinasie en samewerking tussen tradisionele helers in die Ministerie van Gesondheid en Welsyn te verbeter. Sleutelwoorde: malaria I gemeenskap I voorkoming I kennis I houding.

No description available.

A descriptive design was used to describe five client outcome scales as potential measures of quality care in home health care: discharge status, client satisfaction, medication adherence, general symptom distress and caregiver strain. The conceptual model used necessitated three separate samples: a discharged sample of 20 clients, an active client sample of 14 subjects and a caregiver sample of three subjects for a total of 37 subjects. Structured interviews and questionnaires were used; descriptive statistics were applied to scores. The most notable indicator of quality of care, the medication adherence scale, showed all clients taking medications as prescribed. The primary reason for discharge showed that the client could manage without further services. Clients reported that they were somewhat satisfied or very satisfied with services. Caregivers reported a low perceived level of stress. The scales measuring discharge status and symptom distress need further investigation to determine if they are true indicators of the concept of quality care.

Childhood aggression has captured media attention over recent years. Aggression and violence have permeated schools and affected many communities. There are policies and programs in place for young adults, teens and children in some high schools and elementary schools, but not in preschools or daycare centers. However, intervention programs need to be introduced at the preschool level. There is also a scarcity of nursing research on aggression among preschoolers and successful early intervention anti-aggression programs. This study evaluated the Second Stepª anti-aggression program, utilized as a nursing intervention tool, among 41 preschool children aged 3, 4, and 5 years of age. The 3-month long research study was based on King's 1981 general systems theory, which is classified as an interaction model. The research design was a randomized pre-test post-test, 2-group (control and experimental) experimental one, to test the hypothesis that children's aggression scores would be lower and their prosocial scores would be higher after the intervention program. It was also hypothesized that boys would have higher aggression scores than girls and that there would be differences in post aggression scores in the treatment group. Repeated measures ANOVA showed that there were no significant differences between the make-up of each group (p = .05). There was no statistically significant difference between pre- and post-test aggression scores (p = .14) or between genders (p = .13), with the exception that the preschool girls in both groups had slightly higher relational aggression scores than boys, pre- and post-test. The differences were statistically significant at p = <.05. The post-test relational aggression scores were not lower in either group. These findings are discussed in this paper. / by Carol W. Stephenson. / Thesis (D.N.S.)--Florida Atlantic University, 2009. / Includes bibliography. / Electronic reproduction. Boca Raton, Fla., 2009. Mode of access: World Wide Web.

The number of adults over the age of 65 years living with one of more chronic illness in the United States is an acknowledged health challenge for the 21st century. This qualitative research investigation examined the lived experience for adults living with one or more chronic illnesses in the context of a community of faith with access to a faith community nurse. Interpretative hermeneutic analysis was used for the phenomenological study. Findings indicate that the adults expressed their primary essence is living in abundance while living faith and living caring. The findings from this study describe the relationship between adults living with chronic illness, the community of faith and the faith community nurse. Further, findings from this study contribute to essential knowledge necessary for developing models of health care in the community for adults living with chronic illness and nursing care in the community that are distinct and complex. Findings will also support the development of interventions in contexts of faith communities to support and strengthen adults living with one or more chronic illness. The emerging specialty practice in nursing labeled faith community nursing holds promise to come alongside current models of health care to support living in abundance. / by Susan MacLeod Dyess. / Thesis (Ph.D.)--Florida Atlantic University, 2008. / Includes bibliography. / Electronic reproduction. Boca Raton, FL : 2008 Mode of access: World Wide Web.

Hemsjukvård för barn med cancer är en ny och växande vårdform i Sverige. Tillgången till hemsjukvård för barn med cancer ser olika ut beroende på var i landet barnet bor. För sjuksköterskan i hemsjukvård kan det därför vara en helt ny erfarenhet att vårda barn med cancer. Det finns inga svenska studier om hur sjuksköterskor upplever det att vårda barn med cancer i hemmet, men studier från andra länder har visat att sjuksköterskan kan känna osäkerhet och uppleva det mer känslomässigt krävande att vårda barn än vuxna. Sjuksköterskan i hemsjukvård arbetar oftast ensam och vårdar i barnets eget hem och skillnaderna mot att arbeta inom slutenvården är många. Syftet har varit att undersöka sjuksköterskors upplevelser av att vårda barn med cancer inom hemsjukvård. Kvalitativa intervjuer har genomförts med åtta sjuksköterskor och materialet har analyserats med kvalitativ innehållsanalys. Resultatet visar att sjuksköterskor har många och varierande upplevelser, vårdandet upplevs både berikande och belastande. Jämfört med tidigare studier har resultatet visat att det ger mycket glädje och tillfredsställelse att vårda barn inom hemsjukvård, trots att de är svårt sjuka. Sjuksköterskor känner ett stort ansvar för vården de ger och de känner också glädje över att få underlätta och göra gott för andra. Sjuksköterskorna saknar många gånger utbildning för, och erfarenhet av, att arbeta med sjuka barn och flera betonar vikten av reflektion. Slutsatser: Det är viktigt att ta tillvara den glädje och det engagemang som denna studie visar att sjuksköterskor känner inför att vårda och hjälpa barn med cancer. Med ökade möjligheter till kompetensutveckling och samarbete med mer erfarna kollegor skulle tryggheten och säkerheten i vårdandet kunna öka. Tydliga rutiner kan minska osäkerheten och större möjlighet till reflektion kan hjälpa sjuksköterskor att hantera svåra känslor som uppstår. / Program: Specialistsjuksköterskeutbildning med inriktning mot distriktssköterska

Thirty years after the concept of primary health care (PHC) was declared the path to health for all, a crisis continues in human resources for health in Africa. This involves the low prioritisation of education and training for primary health care personnel (PHCP) which is crucial to effective practice in severely under-resourced settings. The curriculum required for this education, involving pictures and textual materials, must meet the needs and capacities of the learners so that learning transfer can occur and community health needs are met. This research set out to establish the basis upon which text and pictures should be incorporated into curriculum to address the requirements of community health nurses (CHNs) in The Gambia. A pragmatic, three phased, mixed methodological design was selected for this study. Curricula for African PHCP were first collected and examined using content analysis to determine the rationale for pictures and text. The second phase employed psychometric testing and statistical analysis to establish if learning style preferences for pictures and text were important in Gambian CHN learning. In the final phase, interviews with CHN students explored their preferences for pictures and text and how these preferences should be accommodated in curriculum. The research found that much of the PHCP curriculum analysed was generic, used traditional didactic approaches and focused on written knowledge-based assessment. Learning style preferences were not found to be a consideration and were unidentifiable in this context. Socio-cultural factors significantly impacted upon student CHN learning, but were not adequately addressed in the curriculum materials examined. In addition, CHNs preferred practical learning through primary, multi-sensory experiences. These findings support the conclusion that the localisation of CHN curriculum is required in order to provide a socio-cultural context for learning that is meaningful, rich, interactive and responsive to learner needs. This demands a reconnection with PHC principles of equity and participation which should underpin this curriculum. The thesis argues that an ecological framework better articulates the link between PHCP education and training, practice, and community needs, and should serve to guide curriculum design. Six strategies are identified that could be extended to African PHCP course design.

Report (Ed. D.)--Teachers College. / Issued also on microfilm. Includes bibliographical references.

Bakgrund. Pappors engagemang i sina barn har setts ge minskad förekomst av psykologiska problem i tonåren hos flickor och minskat utåtagerande av pojkar i skolåldern. Personal som jobbar med barn rekommenderas därför aktivt uppmuntra pappor att engagera sig i sina barn från tidig ålder. Barnhälsovården i Sverige erbjuds alla föräldrar kostnadsfritt och når ut till näst intill alla barn. Syfte. Syftet med studien var att undersöka rådande kunskap kring pappors och sjuksköterskors upplevelse av pappors deltagande i barnhälsovården. Metod. Tio  studier syntetiserades och tolkades med hjälp av metasyntes inspirerad av Roséns (2014) beskrivning. Resultat. Pappors deltagande inom barnhälsovården är beroende av bland annat arbetsliv och upplevelsen av att känna sig välkommen inom barnhälsovården. Sjuksköterskorna uttrycker en medvetenhet över vad de kan göra för att öka deltagandet av pappor inom barnhälsovården men menar att det är upp till föräldrarna att bestämma hur deltagandet skall se ut. Slutsats. En djupare förståelse av pappors upplevelser behövs för att bemöta och stödja pappor inom barnhälsovården för att öka deras deltagande och på så sätt främja barns hälsa och utveckling på sikt. / Background. Involved fathers has been seen to reduce the incidence of psychological problems in adolescence girls and acting out behavior in boys of school age. Personnel working with children are hence recommended to actively encourage fathers to become involved in their children from an early age. Child health services in Sweden are offered to all parents free of charge and reaches almost all children. Aim. The purpose of the study was to examine the current state of knowledge about fathers and nurses experience of fathers involvement in child health care. Method. Ten relevant studies were synthesized and interpreted by means of meta-synthesis inspired by Roséns (2014) description. Result. Fathers involvement in child health care is dependent on, among other things, working life and the feeling of being welcome in child health care. The nurses express an awareness of what they can do to increase the participation of fathers in child health care, but says that it is up to the parents to determine how participation should take place. Conclusion. A deeper understanding of fathers experiences are needed to respond to and support fathers in child health care to increase their engagement and by doing so also conduce childrens health and development in the long term.